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Medical Billing and Coding Specialist Resume Example

A medical billing and coding resume must prove claims accuracy and denial-rate reduction, since revenue-cycle ATS systems filter heavily on certification codes and billing-software keywords.

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Medical Billing and Coding Specialist Resume Sample

A complete, recruiter-approved example you can use as a starting point. Open it in the builder to edit every line.

HANNAH BRENNAN

Certified Medical Coding Specialist

Nashville, TN · h.brennan@email.com · (555) 789-0456

Summary

AAPC-certified medical coder with 5 years in hospital revenue cycle operations. Codes 150+ claims daily at a 98% first-pass acceptance rate and has driven a 15% reduction in denial rates through root-cause claim audits.

Experience

Medical Coding Specialist · HCA Healthcare

2021 - Present

  • Code 150+ inpatient and outpatient claims daily using ICD-10-CM and CPT with a 98% first-pass acceptance rate
  • Reduced claim denial rate 15% by leading root-cause audits and provider documentation training
  • Reconcile EOBs and resolve payer discrepancies for a $3M monthly claims volume

Medical Billing Associate · Ascension

2019 - 2021

  • Processed 100+ claims daily across Medicare, Medicaid, and commercial payers
  • Cut average accounts-receivable days from 45 to 32 through proactive denial follow-up

Education

Associate Degree, Health Information Technology — Nashville State Community College · 2019

Skills

CPC Certified, ICD-10-CM, CPT Coding, HCPCS Level II, Epic, Denial Management, Revenue Cycle, HIPAA Compliance, EOB Reconciliation, Medicare/Medicaid

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Must-Have Keywords for Medical Billing and Coding Specialist Resumes

These are the keywords ATS systems and recruiters search for. Include them naturally in your Skills, Summary, and Experience sections.

CPCICD-10CPT CodingHCPCSClaims ProcessingDenial ManagementRevenue CycleHIPAAEpicMedicare/MedicaidEOB ReconciliationPrior Authorization

The Right Resume Structure for Medical Billing and Coding Specialist Roles

ATS systems parse your resume top to bottom. The order of your sections matters — here is the order that works best for Medical Billing and Coding Specialist applications:

  1. 1Contact Information
  2. 2Certifications (CPC/CCS)
  3. 3Professional Summary
  4. 4Billing & Coding Experience
  5. 5Skills (Coding Systems | Software | Compliance)
  6. 6Education

ATS Optimization Tips for Medical Billing and Coding Specialist Resumes

  • Lead with your CPC or CCS certification — it's the primary ATS filter for coding roles.
  • Quantify claims volume and accuracy: "Coded 150+ claims daily with 98% first-pass acceptance rate".
  • Show denial-rate reduction with numbers — this is the metric revenue-cycle managers care about most.
  • List the specific coding systems you use (ICD-10-CM, CPT, HCPCS Level II) as separate keywords.
  • Name billing/EHR software (Epic, Athenahealth, Cerner) since job postings often require specific platforms.
  • Mention payer experience (Medicare, Medicaid, commercial) if you have it — coding rules vary by payer.
  • Include compliance keywords: HIPAA, fraud/abuse prevention, audit readiness.

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